Yet the 59-year-old aesthetic medicine worshipper – who has also gone under the scalpel for a facelift, browlift, tummy tuck and fillers – was more concerned over the painkillers she might crave before and after the reassignment procedure.

As a former addict, the mum-of-two grew agitated by the fact she was forbidden from taking anxiety drugs to calm her nerves.

For the squeamish, we recommend putting your lunch aside to continue reading...

Once the surgery began, Dr Dubrow found that the implants were gooey from a micro-rupture.

Worryingly, two large masses were also discovered that could have potentially been cancerous.

THE AFTERMATH: Janice is connected to tubes to drain her blood [E! ]

At Janice’s post-op check-in, Dr Dubrow is shocked to see the self-titled 'world's first supermodel' had risked infection by removing her own dressing and drain, as well as appearing totally out of it.

He declared: "In my twenty-five years of being a board-certified plastic surgeon, Janice is by far the most difficult patient I've ever had. She is her breast's worst enemy."

Yet undeterred, Janice later celebrated her new bod by stripping naked.